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ACOs to stay in shared-savings program despite downside risk

ACOs to stay in shared-savings program despite downside risk

By Virgil Dickson  |  October 17, 2018

Nearly half of accountable care organizations surveyed said they now intend to stay in the Medicare Shared Savings Program even though they could be facing downside risk soon, a change of heart from previous surveys.

Tenet, Trinity among the 1,300 joining latest bundled-pay model

Tenet, Trinity among the 1,300 joining latest bundled-pay model

By Virgil Dickson  |  October 09, 2018

About 1,300 providers, including 832 hospitals, have joined the Bundled Payment for Care Improvement Advanced alternative pay model. Providers will get a fixed price for an episode of care and be at risk for up to 20% of costs if they exceed a target.

Medicare's site-neutral pay plan targeted in hospitals' lobbying

Medicare's site-neutral pay plan targeted in hospitals' lobbying

By Susannah Luthi and Virgil Dickson  |  September 25, 2018

The AHA is looking for lawmakers to join its fight against the CMS' proposed site-neutral payment policy that would equalize Medicare rates for off-campus hospital facilities and independent physicians' offices.

Medicare hospice payment model fails its first year

Medicare hospice payment model fails its first year

By Virgil Dickson  |  September 20, 2018

A Medicare model aimed at patients who wanted hospice as well as curative care did not do well in its first year because hospice providers fled the program and doctors were not interested in participating.

Smaller MIPS leads to smaller payouts for large health systems

Smaller MIPS leads to smaller payouts for large health systems

By Virgil Dickson  |  September 11, 2018

Providers warned the CMS that its proposal to let thousands of doctors continue to sit out of the Merit-based Incentive Payment System undermines their investments to comply with the program as well as the health of seniors.

Providers worry CMS rule will limit infusion drug use at home

Providers worry CMS rule will limit infusion drug use at home

By Virgil Dickson  |  August 31, 2018

Providers are urging the CMS not to finalize a rule that could prevent patients from taking infusion drugs at home. If the agency moves forward with the plan, it could lead to higher Medicare costs as more patients may need to seek treatment at hospitals.

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